The Deadly Legacy of World War II in Alaska

In the middle of the Bering Sea—closer to Japan than the continental United States and more than 1,000 miles from Alaska’s largest city, Anchorage—sit the Alaskan islands of Attu and Kiska. It was the summer of 1942, nearly six months after Japan’s surprise attack on Pearl Harbor, that Japanese forces invaded these islands in what was some of World War II’s most brutal fighting and use of explosives

Jordan and Disability Rights: A Pioneering Leader in the Arab World

This article investigates Jordan’s rationale for assuming a leadership role on the disability rights issue in the Arab World. Tens of millions of people, including over ten percent of Arab families, are impacted and impoverished because of disability. To address this substantial challenge, the Jordan Royal family has leveraged Jordan’s tradition of openness and generosity coupled with one of the best educational systems in the Arab World to promote disability issues. As a result, Jordan is recognized by the international community as leading the Arab World in promoting disability rights. Jordan’s international and regional leadership on disability rights was recognized in 2005 when Jordan received the Franklin Delano Roosevelt International Disability Award

Characterizing cardiac involvement in chronic kidney disease using CMR—a systematic review

Purpose of Review: The aim of the review was to identify and describe recent advances (over the last 3 years) in cardiac magnetic resonance (CMR) imaging in patients with chronic kidney disease (CKD). We conducted a literature review in line with current guidelines. Recent Findings: The authors identified 22 studies. Patients with CKD had left ventricular global and regional dysfunction and adverse remodeling. Stress testing with CMR revealed a reduced stress-response in CKD patients. Native T1 relaxation times (as a surrogate markers of fibrosis) are elevated in CKD patients, proportional to disease duration. Patients with CKD have reduced strain magnitudes and reduced aortic distensibility. Summary: CMR has diagnostic utility to identify and characterize cardiac involvement in this patient group. A number of papers have described novel findings over the last 3 years, suggesting that CMR has potential to become more widely used in studies in this patient group

In majority Democratic school districts, African Americans gain significantly more representation in at-large elections

Research on electoral structure has often touted single member districts to be beneficial for achieving minority representation. In a study of a national sample of school board elections between 2002 and 2008, Kenneth J. Meier and Amanda Rutherford find an unanticipated trend—African Americans are now over-represented on school boards with at-large elections when they are a minority of the population. They argue that partisanship changes the relationship between electoral structure and race so that African American may benefit in counties with a majority Democrat constituency. The traditional pattern of African-American under representation occurs only in school districts with a Republican voting majority

Chapter 1 The Common Denominator: Persistent Racial Gaps in the Administration of Policy

Issues of race permeate virtually every corner of policy creation and implementation in the United States, yet theoretically driven research on interactions of policy, race, and ethnicity rarely offers practical tools that can be readily applied by current and future civil servants, private contractors, or nonprofit boards. Arguing that scholarship can and should inform practice to address issues of equity in public affairs, rather than overlook, ignore, or deny them, Race and Public Administration offers a much-needed and accessible exploration of current and cutting-edge research on race and policy. This book evaluates what contradictions, unanswered questions, and best (or worst) practices exist in conducting and understanding research that can provide evidence-based policy and management guidance to practitioners in the field.　 Individual chapters are written by established and emerging scholars and explore a wide range of policy areas, including public education, policing, health and access to healthcare, digital governance, nonprofit diversity, and international contexts. Together, the chapters serve as a link between theoretically informed research in public administration and those students and professionals trained to work in the trenches of public administration. This book is ideally suited as a text for courses in schools of public administration, public policy, or nonprofit management, and is required reading for those actively involved in policy analysis, creation, or evaluation

Chapter 1 The Common Denominator: Persistent Racial Gaps in the Administration of Policy

Issues of race permeate virtually every corner of policy creation and implementation in the United States, yet theoretically driven research on interactions of policy, race, and ethnicity rarely offers practical tools that can be readily applied by current and future civil servants, private contractors, or nonprofit boards. Arguing that scholarship can and should inform practice to address issues of equity in public affairs, rather than overlook, ignore, or deny them, Race and Public Administration offers a much-needed and accessible exploration of current and cutting-edge research on race and policy. This book evaluates what contradictions, unanswered questions, and best (or worst) practices exist in conducting and understanding research that can provide evidence-based policy and management guidance to practitioners in the field.　 Individual chapters are written by established and emerging scholars and explore a wide range of policy areas, including public education, policing, health and access to healthcare, digital governance, nonprofit diversity, and international contexts. Together, the chapters serve as a link between theoretically informed research in public administration and those students and professionals trained to work in the trenches of public administration. This book is ideally suited as a text for courses in schools of public administration, public policy, or nonprofit management, and is required reading for those actively involved in policy analysis, creation, or evaluation

Detectable HIV Viral Load in Kenya: Data from a Population-Based Survey.

IntroductionAt the individual level, there is clear evidence that Human Immunodeficiency Virus (HIV) transmission can be substantially reduced by lowering viral load. However there are few data describing population-level HIV viremia especially in high-burden settings with substantial under-diagnosis of HIV infection. The 2nd Kenya AIDS Indicator Survey (KAIS 2012) provided a unique opportunity to evaluate the impact of antiretroviral therapy (ART) coverage on viremia and to examine the risks for failure to suppress viral replication. We report population-level HIV viral load suppression using data from KAIS 2012.MethodsBetween October 2012 to February 2013, KAIS 2012 surveyed household members, administered questionnaires and drew serum samples to test for HIV and, for those found to be infected with HIV, plasma viral load (PVL) was measured. Our principal outcome was unsuppressed HIV viremia, defined as a PVL ≥ 550 copies/mL. The exposure variables included current treatment with ART, prior history of an HIV diagnosis, and engagement in HIV care. All point estimates were adjusted to account for the KAIS 2012 cluster sampling design and survey non-response.ResultsOverall, 61·2% (95% CI: 56·4-66·1) of HIV-infected Kenyans aged 15-64 years had not achieved virological suppression. The base10 median (interquartile range [IQR]) and mean (95% CI) VL was 4,633 copies/mL (0-51,596) and 81,750 copies/mL (59,366-104,134), respectively. Among 266 persons taking ART, 26.1% (95% CI: 20.0-32.1) had detectable viremia. Non-ART use, younger age, and lack of awareness of HIV status were independently associated with significantly higher odds of detectable viral load. In multivariate analysis for the sub-sample of patients on ART, detectable viremia was independently associated with younger age and sub-optimal adherence to ART.DiscussionThis report adds to the limited data of nationally-representative surveys to report population- level virological suppression. We established heterogeneity across the ten administrative and HIV programmatic regions on levels of detectable viral load. Timely initiation of ART and retention in care are crucial for the elimination of transmission of HIV through sex, needle and syringe use or from mother to child. Further refinement of geospatial mapping of populations with highest risk of transmission is necessary